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‘| LEGISLATIVE RESOURCE CENTER OOIHAY 1S PK 3:30 UNITED STATES HOUSE OF REPRESENTATIVES, FORMA Pege tot st : FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2006 For use by Members, officers, and employees: crue ar vale 7 ‘Susan A. Davis. Ys. HuUse GF REPRESCATATIVES ‘Pal tarie) Washington, DC 20515 1224 Longworth HOB ato ‘A200 penalty shall be assessed against anyone who files ‘more than 30 days late. "Badyon you" open Sa rece ay pT Vi. the reporting period (2. aggrepuing more than $305 and ot othorise Ifyes, complete and attach Schedule VI. ‘Did any lndesua or erpaeation make a donation to Charly Bow of ng ‘id you your spouse, or Sopenden chi rcaive sy aparae Halo? 1. youtora speech, appearance, or arc ine reporting pared? Yes No y| Mit roimbrstments fertavet ina pring peridot more an 8 Yen yy No yes, complate and attach Schedule I. If yea. complete and attach Schedule Vi ‘id you, your spouse, ova dependent chi ective “unearned” came of id you fal any reportable poalons oo Before edt fing ibe more han $208 nthe reporting period or bald any reportable easet wer! Yq. y No | VM curentcamnaar yenr? Yeo Woy fpore than $1,000 a the end of ha paiod? ifyes, completa and stiech Schedule I. yes, complete and attach Schedule Vil. ‘Did yo your spouse, or cependent chil purchase, sll or exchange ey ‘id you have 20y reportable arose or arrangement with a Ootade NV, reportable neat nw ransactonerceeding $1000 duteg te poring” Yen y No | MX entiyh Yes wey Frys, completa and attach Schade ¥. tyes, complete and attach Schedule X. Y,_DIEY=s, our spunea dependent ch have any reper (more than $1000) ring he reporting period? Yes y No Each question in this part must be answered and the appropriate yes, compote and attach Schedule V_ schedule attached for each “Yes” response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION -- ANSWER EACH OF THESE QUESTIONS - ‘Detats regarding “Qualiied Blind Trusts” approved by the Committe on Standards of Official Conduct and certain other “excopled ee ‘tr red othe Gacowd, Neve you err rom hep talc boeig ou, our span Spares Exemptions Have you excluded from this report any other assets, “unearned” income, wancactions, or Habilties of spouse or dependent child ‘because they meet all three teats for exemption? CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED ‘This Financial Oisciosure Statement is required by he Ethics in Govemsment Ac of 1978, 2 amended. The Staloment wil be avaiable fo any requesting person upon wit application and willbe reviewed by the Committee on Standards of Ofial Conductor ts Gesignes. Any invigual who Knowingly and wllhy flees, oF who Knowingly and ‘wily fis to fle hs report may be subject io Gi penaties and criminal sanctons (See 5U8.G apo. 4,§ 104 and U.S.C. § 1001). Corts ipfoture of Reporang indicus Date (ort Day. Year) tree, conp rd caret lina box fy known aa ate tr I Vreaes ag 1S) rw 4AND DELIVERE: SCHEDULE | - EARNED INCOME Page 20 11 [ist the source, type, and amount of eared Income from any source (other than the ler current employment by the U.S. Government) totaling $200 or more lduring the preceding calendar year. For a spouse, list the source and amount of any honoraria; list only the source for other spouse eamed income exceeding, BLOCK A Asset and/or Income Source dentiy (a) each asset held for Investment or production of income with ‘far mareat value exceacing $1,000 atthe ond of the reporting period, ‘and (b) any other asset or source of income which ganerated more than $200 in “unearned” Income during the year. For renal property or land, Provide an address. Provide full names of any mutual funds. Fora self rected IRA (Le., one where you have the power to select the specific twestments) provide Information on each assat Inthe account that ‘exceeds the reporting threshold and the income earned forthe account For an IRA or retirement plan that isnot self-directed, name the Inatitution holding the account and provide its valve atthe end ofthe reporting partod. Far an active business that ic not publicly traded, ta Block A stata the nature of the business and Its geographic location. For adaliional Information, see instruction booklet forthe reperting year. Exclude: Your personal residence(s) (unless there Is rental Income}: ‘any debt owed to you by your spouse, of by your or your spouse's child, ‘Barer, oF sibling: any deposts totaling $5,000 or less In poreonal ‘Savings accounts; any financial iniarest a or income derived from U.S, Government ratireant programs, Ityou 30 choose, you may indicate that an assat or Income source Is that of your spouse (SP) o dependent child (00) ol Joely hal IT, Inthe optional column on the fare wT 4113-45 Arbor Vitae {$250,001 - RENT $5,001 - $15,000 San Diego, CA $500,000 aT “American Advantage Mileage $1,004 - DIVIDENDS $201 - $1,000 Fund ADVXX $15,000 aT ‘American Intemational Group $1,001 - DIVIDENDS $1 - $200 AIG $15,000 Ariel Fund $15,001 - DIVIDENDS $1 -$200 $60,000 if aT Ariel Fund $1,001 - DIVIDENDS $1 - $200 $15,000 JT Cal-Amer Inc. Prop IV $15,001 - CAPITAL GAINS | $1,001 - $2,500 $50,000